This study analyze the effectiveness of a Physiotherapy treatment versus a Qigong exercise programme improving quality of life of subjects with Fibromyalgia.
Objective: This study investigated the effectiveness of a Physiotherapy treatment versus a Qigong exercise programme for the improvement of the quality of life of subjects with Fibromyalgia. Design: A single-blind randomized clinical controlled trial. Setting: University of Extremadura, Spain Subjects: Women with Fibromyalgia Interventions: 141 Participants were randomized to a Qigong exercise program group (n=47), a physiotherapy treatment group (n=47) and control group (n=47) for 6 weeks. Main Measures: Measures were taken at baseline (week 0), pre intervention (week 1) and post intervention (week 6). The primary outcome measure were quality of life (Spanish Fibromyalgia Impact Questionnaire (SFIQ), pain (VAS), perceive exertion (Borg scale), spirometry measures (Spirobank-G MIR spirometry) and balance (Wii-Fit, Nintendo ©). The secondary outcome measures were flexibility (Wells and Dillon test and Sit and Reach test), Range of movement (goniometer), muscle strength (Lowett scale).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
165
Traditional Chinese Medicine exercise programme
Physiotherapy exercise programme
Change from the Spanish Fibromyalgia Impact Questionnaire (SFIQ) at post intervention (week 6)
SFIQ measures the level of quality of life of subjects with Fibromyalgia with a score of 0 to 100. A higher score indicates more impact of the condition on the life of the person and therefore less quality of life.
Time frame: Baseline (week 0), pre intervention (week 1) and post intervention (week 6).
Change from Visual Analogue Scale (VAS) at post intervention (week 6)
The Visual analogue scale measures the level of pain with a score of 0 to 10 where 0 indicates no pain and 10 indicates maximun pain.
Time frame: Baseline (week 0), pre intervention (week 1) and post intervention (week 6).
Change from Borg Scale of perceived exertion at post intervention (week 6)
Borg scale measures the perceived exertion of a subject with a score of 0 to 10 where 0 is the minimum exertion and 10 is the maximun exertion.
Time frame: Baseline (week 0), pre intervention (week 1) and post intervention (week 6).
Changes from the values registered by the Spirobank-G (MIR)® spirometer
Spirometry measures respiratory values being the reference values (Knudson model) for a 50 year old woman with 1,65 cm of height and 65 kilos weight: FVC (Forced vital capacity)= 3.611, FEV1 (Forced expiratory volume) = 2.7505, FEV1%= 76.17%, FEF (Forced expiratory flow) 25-75%= 2.625, PEF (peak expiratory flow)= 6.222
Time frame: Baseline (week 0), pre intervention (week 1) and post intervention (week 6).
Change from the centre of gravity registered with Wii-fit Nintendo®
Static balance and postural control is the ability to maintain the centre of gravity within the base of support. Centre of gravity is measured in percentage through posturography study. A higher percentage means better balance
Time frame: Baseline (week 0), pre intervention (week 1) and post intervention (week 6).
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Change from the monopodal stance test registered with Wii-fit Nintendo®
Monopodal stance test measures static balance in percentage through posturography study. It is measure in percentage from 0 to 100 and a higher percentage means a better result.
Time frame: Baseline (week 0), pre intervention (week 1) and post intervention (week 6).
Change from range of movement measured with goniometer
Shoulder and hip range of movement
Time frame: Baseline (week 0), pre intervention (week 1) and post intervention (week 6).
Change from muscle strength measured with Lovett scale
Shoulder and hip range of movement.Lovett scale is a modification of Daniels and Worthingham. The scale is measured from 0 to 5 where 0 means no muscle activation strength and 5 means normal strength against resistance
Time frame: Baseline (week 0), pre intervention (week 1) and post intervention (week 6).
Change from flexibility measured with the Wells y Dillon scale
Flexibility is measured with this scale with the patient sitting and reaching the feet. It is measured in centimeter and a more positive value means a better record.
Time frame: Baseline (week 0), pre intervention (week 1) and post intervention (week 6).